My hill is that some people have made it far enough to realize they should do that with a neurotypical child but will hold back a neurodivergent one, especially if there's some intellectual / cognitive disability in the mix. A looot of parents come to terms with having an ID kid by picturing that they're going to stay their cute sweet baby forever. It can result in a lot of messed up situations and a little public masturbation is the least of them. I actually really enjoyed the "tard Wrangler" greentext despite the thoroughly stigmatizing language just because he actually completely nailed the experience of working those kinds of jobs. I've definitely worked with a few people who have some questionable traits but who do, in the end, have the patients best interests at heart, and it's not hard to see how the job itself has kinda fried them a little. That anon is probably one of the coworkers I would make the Picard holding his head gesture at a fair amount but who definitely wouldn't hurt a patient and in a heartbeat would jump into action helping me stop someone from smearing shit everywhere.